Organization
JOHN M GORDON MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M GORDON MD (PROVIDER/OWNER)
(504) 495-7980
Entity
Organization
Contact information
Practice address
4228 HOUMA BLVD STE 220, METAIRIE, LA 70006-3006
(504) 834-2062
Mailing address
4228 HOUMA BLVD STE 220, METAIRIE, LA 70006-3006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.023665
LA
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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